NICOLA MEDICAL CENTER – NPI #1841035615
General Practice

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

Health Care Provider Taxonomy Code for General Practice

NICOLA MEDICAL CENTER is a provider located in LOS ANGELES, CA. NPPES has assigned the NPI number 1841035615 to NICOLA MEDICAL CENTER on June 25, 2024. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 208D00000X from the Health Care Provider Taxonomy code set, which is classified as General Practice.

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for NICOLA MEDICAL CENTER below.

NPI Profile for
NICOLA MEDICAL CENTER

NPI Number
1841035615
Enumeration Date

(about 2 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
NICOLA MEDICAL CENTER
Primary location
1718 COLORADO BLVD STE A
LOS ANGELES, CA 90041-1338
Phone: (323) 274-4710 Fax: (323) 274-4709
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
NICHOLAS DZEBOLO
CHIEF EXECUTIVE OFFICER
Phone: (323) 274-4710
Updated
Certification Date
Jun 25, 2024

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
208D00000X
- General Practice (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.